Rhinoplasty and Nose Job Surgery for Sandton Patients | Dr Deon Weyers
Rhinoplasty, the operation most people call a nose job, reshapes the nose to bring it into better balance with the face. Sandton patients are seen at our nearby Fourways practice.
During rhinoplasty the bone and cartilage under the skin of the nose are reshaped. The surgery can be approached through incisions hidden inside the nostrils or through an additional small incision between them, and the choice depends on what needs to change.
The practice is at Life Fourways Hospital, a short drive from Sandton. Dr Deon Weyers personally handles your consultation, your surgery and each review afterwards.
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Rhinoplasty Sandton: Planning Surgery Around a Busy Diary
For many patients in Sandton, the main practical question about a nose job is time. How long will the splint stay on, when will bruising fade enough for meetings, and how many visits will recovery need? This page answers those questions alongside the technical ones.
The procedure itself is described on our main rhinoplasty page. Here the focus is on the two surgical approaches, open and closed, and on how to fit recovery around work, travel and family commitments.
- Open approach
- Closed approach
- Splint for 7 to 12 days
- Short drive from Sandton
- Single surgeon
All consultations, the operation and the early reviews take place at Life Fourways Hospital. For Sandton patients this keeps the post-operative visits short, which matters most in the first two weeks when the splint is still on.
Based on the practice’s own guidance, the splint usually stays in place for 7 to 12 days, bruising around the eyes fades over 2 to 3 weeks, and the final shape continues to settle over 6 to 12 months.
Choosing When to Have Surgery
Most people choose a date that gives them about two weeks away from face-to-face work. Remote work is often possible sooner, but expect to look bruised and swollen on video calls during the first week.
Avoid scheduling flights, important events or contact sport in the weeks straight after surgery. If you wear glasses, plan for them not to rest on the bridge of the nose until you are advised that it is safe.
The right time for a nose job is when you can give the first two weeks of recovery your full attention. Rushing back too early is one of the few avoidable problems in rhinoplasty recovery.
Open vs Closed Rhinoplasty
Open Rhinoplasty
Incisions inside the nose are joined by a small incision across the columella, the strip of skin between the nostrils. The skin is lifted so the framework can be seen directly.
Often chosen when the tip needs significant reshaping or support, when grafts are needed, or in revision surgery. The columella scar is small and usually fades well.
Closed Rhinoplasty
All incisions are placed inside the nose, so there is no external scar on the columella. The framework is reshaped through these internal access points.
Often suited to changes such as reducing a bump on the bridge where extensive tip work is not required. Which approach is right for you is decided at consultation.
| Aspect | Open Rhinoplasty | Closed Rhinoplasty |
|---|---|---|
| Incisions | Inside the nose plus a small one between the nostrils | Inside the nose only |
| External scar | Small scar on the columella that usually fades | None visible |
| View of the framework | Direct view of cartilage and bone | More limited, working through internal access |
| Often used for | Complex tip work, grafting, revision surgery | Bridge reduction and more limited changes |
| Splint | About 7 to 12 days | About 7 to 12 days |
| Deciding factor | What needs to change, assessed in person | What needs to change, assessed in person |
From Consultation to Recovery
Each step takes place at Life Fourways Hospital, close to Sandton, and Dr Deon Weyers sees you at every one of them.
Consultation
You explain what you would like to change and the nose is examined, including the airway. Your work and travel commitments are discussed so recovery can be planned realistically.
Choosing the approach
Based on the changes needed, an open or closed approach is recommended and the reasons are explained. The plan and the quote are confirmed in writing.
The operation
Surgery is performed in a hospital theatre with an anaesthetist. Bone and cartilage are reshaped and, where needed, supported with sutures or small cartilage grafts.
The first two weeks
A splint protects the new shape. Rest with your head raised, avoid blowing your nose and attend the review where the splint is removed, usually after 7 to 12 days.
Back to routine
Most visible bruising fades within 2 to 3 weeks. Exercise and contact sport resume in stages, as advised at your reviews, while the shape keeps settling for months.
Who Considers a Nose Job
Rhinoplasty is most often considered by healthy adults who have a clear idea of what they would like to improve and who can make time for recovery.
- Profile concerns – A bump or dip along the bridge of the nose
- Tip concerns – A tip that looks wide, round, upturned or drooping
- Width or symmetry – A nose that looks wide or sits off centre
- Breathing concerns – Blockage that may be related to the inside structure of the nose
- Time to recover – Ability to set aside the first two weeks for healing
- Clear expectations – An aim of improvement and balance rather than a specific copied look
A consultation and examination decide whether surgery is appropriate. The information here is general and is no substitute for that assessment.
Questions to Ask Before You Book
Comparing practices is sensible. These questions help you compare like with like.
- Who will perform the surgery?At this practice, Dr Deon Weyers performs the operation himself and sees you at every review.
- Where will it take place?Ask whether surgery is done in a hospital theatre with an anaesthetist. Here it takes place at Life Fourways Hospital.
- What does the quote include?Check that the surgeon, anaesthetist and theatre fees are itemised, and how long the quote remains valid.
- What happens if a revision is needed?Ask how follow-up and any further treatment are handled before you commit.
How Much Does a Nose Job Cost?
The practice publishes a range of R80,000 to R100,000 for rhinoplasty for Sandton patients; see the rhinoplasty prices in Sandton page. Your own cost depends on how much needs to change, the approach used and the time in theatre, and is confirmed in writing after consultation.
Estimates are itemised to show the surgeon’s fee, anaesthetic charges, theatre costs and any extras such as garments, and remain valid for six months from the date of issue.
When people ask how much a nose job costs in South Africa, it helps to compare quotes that cover the same items. Medical aid does not usually cover cosmetic rhinoplasty, though surgery to correct a documented breathing problem may qualify for partial cover after motivation.
Common Assumptions Worth Checking
Some ideas about rhinoplasty recovery and technique cause unnecessary worry, or unrealistic plans.
Risks and Possible Complications
Recognised Risks of Rhinoplasty
General surgical risks: bleeding, nosebleeds, infection, delayed healing and anaesthetic complications.
Appearance-related risks: asymmetry, contour irregularities and a columella scar after an open approach.
Function-related risks: altered nasal breathing, numbness and long-lasting tip swelling.
Further surgery: a minority of patients may need a revision to refine the result.
What Reduces Risk
- Do not smoke – before or after surgery; it slows healing.
- Keep your head raised – during the first days to help swelling settle.
- Avoid blowing your nose – until you are told it is safe.
- Keep your review dates – so any concern is checked promptly.
Contact the practice urgently for heavy bleeding that does not stop with gentle pressure, increasing pain, fever, spreading redness or new difficulty breathing through the nose.
Medical disclaimer. This page is general information and does not replace a face-to-face consultation. Surgical decisions require an in-person assessment, a full consent discussion and the individual medical advice of your surgeon and anaesthetist.
Nose Job Sandton: Frequently Asked Questions
Where will I be seen if I live in Sandton?
At the practice in Life Fourways Hospital, a short drive from Sandton. There is no separate Sandton rooms; consultations, surgery and reviews all take place in Fourways.
How much does a nose job cost in South Africa?
The practice’s published range is R80,000 to R100,000. Your own quote depends on the work needed and is given in writing after consultation. See the Sandton rhinoplasty prices page for details.
Will I need an open or closed rhinoplasty?
It depends on what needs to change. Significant tip work or grafting often suits an open approach, while some bridge changes can be done closed. The recommendation is explained at consultation.
When can I go back to the office?
Many people return to office work after about two weeks, once the splint is off and bruising has faded. Remote work may be possible sooner.
When can I exercise again?
Light walking is encouraged early on. Strenuous exercise and contact sport are reintroduced in stages over the following weeks, as advised at your reviews.
Is rhinoplasty also offered for Johannesburg patients?
Yes. Johannesburg patients are seen at the same Fourways practice; see our rhinoplasty in Johannesburg page.
Can I see previous results?
The rhinoplasty before and after gallery shows individual cases. Results vary between patients and the gallery is not a guide to your own outcome.
How do I start?
Book a consultation by phone on 011 875 1694, or send photographs through the online consultation form for an initial review.
Speak to Dr Deon Weyers About Rhinoplasty
Dr Deon Weyers is a board-certified plastic and reconstructive surgeon, registered with the Health Professions Council of South Africa and a member of APRASSA. He sees Sandton patients at the practice in Life Fourways Hospital.
Call 011 875 1694
Office hours: Monday to Thursday 08:00 – 17:00, Friday 08:00 – 14:00 · send a message
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